The good news is that policymakers can improve Ohio’s child care system. For example, they can make public funding for child care available to more families. Currently, the funding is available only to families with very low incomes: $36,074 annually for a family of three. But child care is unaffordable even for families in Ohio’s economic middle. The average monthly cost for one infant’s care eats up almost 17% of the typical (median) household monthly income. The U.S. Department of Health and Human Services says child care is unaffordable if it costs more than 7% of a family’s income. According to the Economic Policy Institute, that means child care is only affordable for the highest-paid 12.2% of Ohio households.
Child care isn’t just hard to afford; it’s also hard to find, especially in rural counties. Compare the concentration of child care centers in the Columbus area to the scarcity in southeast Ohio. Although Franklin County’s population is similar to the combined populations of all 32 Appalachian Ohio counties, the Columbus area is home to 133 more child care centers. Every corner of Ohio should have enough child care centers to meet the needs of families, yet nearly 40% of Ohioans live in a child care desert.
One reason it’s so hard to find child care providers: Elected officials reimburse them so poorly for their work that they struggle to stay open. Ohio has never conducted a cost-of-care study, instead setting reimbursement rates using data from a backward-looking survey of what providers recently charged for services in an area. Then we reimburse publicly funded child care providers at the 35th percentile — less than what’s charged by 65% of providers in the area. This is so low the Biden administration mandated an increase to the 50th percentile. But to eliminate child care deserts, we need our lawmakers to do more than the minimum and reimburse providers at the 75th percentile.